Zusammenfassung
Die Hautbiopsie ist die wichtigste adjuvante diagnostische Methode
in der Dermatologie. Sie ist für die spezifische Diagnose vieler
Dermatosen unerlässlich und stellt zugleich die beste
Qualitätskontrolle der klinischen Diagnostik dar. Dennoch werden bei
Kindern Hautbiopsien viel seltener durchgeführt als bei Erwachsenen. Die
Prämedikation mit EMLA-Creme vor Durchführung der
Infiltrationsanästhesie gestattet inzwischen völlig schmerzfreie
Biopsien. Die Indikation zur Biopsie sollte daher auch bei Kindern
großzügiger gestellt werden, um das Niveau der pädiatrischen
Dermatologie dem bei Erwachsenen anzugleichen.
Abstract
Biopsy of the skin is the most important adjuvant diagnostic method
in dermatology. It is essential for a specific diagnosis of many dermatoses and
serves as quality control for clinical diagnosis. Nevertheless, skin biopsies
are performed only rarely in children, as compared to adults. Application of
EMLA cream before infiltration of a local anaesthetic allows biopsies of the
skin to be performed without any pain. Therefore, the indication for skin
biopsy in children should be adjusted to that in adults in order to raise
diagnostic standards in pediatric dermatology.
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1 Gehalten als Vortrag beim 2. Wiesbadener Symposium
Kinderdermatologie, 12. 11. 2008.
Dr. Wolfgang Weyers
Zentrum für Dermatopathologie Freiburg
Engelbergerstr. 19
79106 Freiburg
eMail: ww@zdpf.de
